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SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY (California)

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SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY OF PLACER
www.placer.courts.ca.gov
Page 1 of 2
Form Adopted for Mandatory Use
S
uperior Court of California, County of Placer
Form No. PL-FL006
Effective 01-01-2016
ATTORNEY OR PARTY WITHOUT ATTORNEY
(Name, State Bar Number, and Address):
TELEPHONE NO.:
FAX NO.:
EMAIL ADDRESS:
FOR COURT USE ONLY
S PERIOR COURT OF CALI , OUNTY OF PLACER U FORNIA C
10820 Justice Center Drive 2501 N. Lake Blvd.
P.O. Box 619072 P.O. Box 5669
Roseville, CA 95661-9072 Tahoe City, CA 96145
CASE NUMBER:
PETITIONER/
PLAINTIFF:
RESPONDENT/DE
FENDANT:
AT ISSUE MEMORANDUM
Counter At Issue Amended
NATURE OF CASE
Dissolution
Uniform Parentage Act
UIFSA
Legal Separation
Domestic Violence
DCSS
Nullity
UCCJEA
Guardianship (Custody)
Other
1. What date was the action filed? _____________________________
2. What date was the first response: served _____________________ filed _____________________
3. Has the Respondent appeared in this case?____________ Have disclosures been done?____________ Preliminary Final
4. Is the matter at issue? _______________ What are the issues? ___________________________________________________________
5. Date of last settlement attempt: ____________________________________________________________________________________
6. Is a settlement conference requested? _______________________________________________________________________________
7. Is a court reporter requested for the Trial? ____________________ Note: Litigants are responsible for the court reporter fees.
8. Dates NOT available for Trial Setting Case Management Conference:
_____________________________________________________________________________________________________________
9. Estimated time for trial: _________________________________________________________________________________________
Indicate below names of party being represented, names and state bar numbers of trial counsel. If self representing, please indicate
address and telephone number:
Petitioner ___________________________________ Respondent ___________________________________
Attorney ____________________________________ Attorney _____________________________________
Attorney’s State Bar No. _______________________ Attorney’s State Bar No. ________________________
Address ____________________________________ Address _____________________________________
___________________________________________ ____________________________________________
Telephone No. _______________________________ Telephone No. ________________________________
Claimant ___________________________________ Other _______________________________________
Attorney ____________________________________ Attorney _____________________________________
Attorney’s State Bar No. _______________________ Attorney’s State Bar No. ________________________
Address ____________________________________ Address _____________________________________
___________________________________________ ____________________________________________
Telephone No. _______________________________ Telephone No. ________________________________
I hereby represent to the Court that all essential parties have been served with process or have appeared herein and that this case is at issue as to all
such parties; that no amended or supplemental complaint or cross-complaint or other affirmative pleading remains unanswered; that to my knowledge
no other parties will be served with a summons prior to the time of trial, and I know of no further pleading to be filed.
READ INSTRUCTIONS ON BACK OF FORM PRIOR TO FILLING OUT
SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY OF PLACER
www.placer.courts.ca.gov
Page 2 of 2
Date __________________________ Signature _____________________________________________
ANY PARTY NOT IN AGREEMENT WITH THE INFORMATION OR ESTIMATES GIVEN IN AT ISSUE MEMORANDUM SHALL WITHIN TEN
DAYS AFTER SERVICE THEREOF SERVE AND FILE A MEMORANDUM IN HIS/HER BEHALF.
I served the At-Issue Memorandum by depositing a copy thereof (enclosed in sealed envelope(s), postage prepaid) in the United States
Mail, addressed to each party or to his attorney as shown in such memoranda on______________ at ___________________________,
California.
At the time of service, I was at least 18 years of age, (employed/residing) ___________________________ in the county where the
mailing occurred, and not a party to the action. My (residence/business) address is:
____________________________________________________________________________________________________________
Date _______________________ _________________________________________________
(Signature of declarant)
_________________________________________________
(Type or print name)
READ THE FOLLOWING INSTRUCTIONS BEFORE FILLING OUT THE FORM
1. Type or write legibly in ink. Provide all information requested.
2. Please provide dates NOT available for Trial Setting Case Management Conference in the appropriate box
commencing one month from filing of “At-Issue”.
If no Counter At Issue submitted within 10 days after receipt of the At Issue, the Court will set Trial
Setting Case Management Conference date pursuant to dates provided in the At Issue.
3. Date and sign the request at the bottom.
4. Mail a copy to all parties. If no proof of service is attached to the At Issue, the document will be returned.
5. Submit this form and the proof of service with a self addressed stamped envelope by delivering it in
person or by mail to:
Calendar Clerk Family Law Division
Placer County Superior Court
10820 Justice Center Drive
Roseville, CA 95678
6. Parties who are represented
by an attorney are not required to attend the Trial Setting Case Management
Conference.
7. This form must be filed with the Court in order for a trial to be set.
Form Adopted fo
r Mandatory Use
Superior Court of California, County of Placer
Form No. PL-FL006
Effective 01-01-2016
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Completed 3 August 2021

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